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Individual

ALISANDRA MARGARET DIRICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 A SOUTH PARK DRIVE, BROWNWOOD, TX 76801
(325) 646-6568
(325) 646-9199
Mailing address
PO BOX 188, GOLDTHWAITE, TX 76844-0188
(325) 451-0910

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11439
TX

Other

Enumeration date
09/05/2017
Last updated
09/05/2017
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